Organization Active NPI

Select Physical Therapy, LLC

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1053361840
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SELECT PHYSICAL THERAPY, LLC
Practice address
7932 Summa Ave
Suite B3
Baton Rouge, LA 70809-3416
Phone
(225) 769-9203
Fax
(225) 769-9205
NPI assigned
May 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Prof. Dianne Graham, PTNPI 1639142607
Title
Physical Therapist
Phone
(225) 769-9203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

7932 Summa Ave
Suite B3
Baton Rouge, LA 70809-3416

Mailing address

7932 Summa Ave
Suite B3
Baton Rouge, LA 70809-3416
Phone (225) 769-9203

Other identifiers 1

IdentifierTypeStateIssuer
H0011OtherLABCBS OF LOUISIANA

National Provider Directory

National Provider Directory

Locations

7932 Summa Ave
Ste B3
Baton Rouge, LA 70809
Phone (225) 769-9203

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053361840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7932 SUMMA AVE",
            "address_2": "SUITE B3",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093416",
            "telephone_number": "225-769-9203",
            "fax_number": "225-769-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7932 SUMMA AVE",
            "address_2": "SUITE B3",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093416",
            "telephone_number": "225-769-9203",
            "fax_number": "225-769-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "225-769-9203",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF LOUISIANA",
            "identifier": "H0011",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.